BALDWIN EMS IN ACTION

Welcome to the The Baldwin EMS In Action section.  The most recent calls are added below.  Please scroll down the page to view a variety of calls filled with pictures and narratives.  Here is a list of what appears below:

Technical Rescue from a Wooded Area

Dispatch: Baldwin E.M.S. was dispatched for a female that was down in the woods possibly with a broken leg. Upon arrival to scene Medic 515 met the man who found her at the side of the dirt road. Medic 515 (Shiring) established E.M.S. command and instructed all incoming units to switch to an EMS Ops channel. Upon arrival to scene of Rescue 510 (Neill) had a face to face with Shiring.  Neill then assumed EMS Command and Shiring was assigned to  EMS Operations. The civilian bystander then led Shiring/Cook/Heidenreich ( referred to as Entry Team One) to where the patient was located. Team One took medical equipment from an ambulance and the over-the-hill rescue bag from Rescue 510.  After approximately a 600' walk into the woods the Pt. was found next to a small dirt path. Pt. was assessed by Entry Team One and treated for injuries and exposure to the cold temperatures.  Upon arrival to scene of UC-480, an access route was plotted through heavy brush and rough terrain.  UC 480 was staffed by T. Plunkett and McCaffrey (Entry Team Two) took additional blankets, stokes basket with cold weather packaging equipment as well as warmed IV fluids.   Team Two safely reached Team One and together the two teams placed the patient into the stokes basket using the the cold weather package equipment that consisted of  (foil blankets, wool blankets and a tarp).  The patient was secured using rescue rope in a "needle and thread" anchoring procedure . Inside of the packaging was a electronic topical thermometer device used to monitor the patient's body temperature, cardiac monitor limb leads, and two stethoscopes (one attached to the patient's arm at the brachial artery for blood pressure monitoring and a second one attached to the the patients chest wall to reassess breathing). While Pt. was being packaged, Neill, W. Plunkett, Stoker and Fails set a 24' ladder at a shallow angle down and into the creek bed.  A 10' attic ladder was put into position to aid the rescuers as the patient was being raised along the 24' ladder.  At the same time, Toki set up a 4:1 (300') haul system off the driver side of Rescue 510 using the vehicle mounted eye-hook as an anchor. The 4:1 was connected to a 2" piece of webbing. The crews drove the patient on the UC 480 vehicle until they reached the edge of the creek bed opposite of the roadway.  Crews then carried the patient to the base of the 24' ladder and attached the stokes basket to the 4:1 haul system.  Crews then hauled the stokes basket using the rope system until the patient reached the roadway surface.  The patient was then carried to Medic 511 and taken to the hospital. All equipment was cleaned and placed back into service. All other units were clear. Responding Units: Medic 515: (Shiring, Cook), Rescue 510: (Neill, Toki), Medic 511 and Utility Cart (UC) 480: (McCaffrey, Stoker), Chief 510: (W. Plunkett), Squad 517 (T. Plunkett) and Baldwin Borough Police:  (Sgt. Heidenreich. Off. Fails)

Apartment Building Fire

Baldwin EMS crews were dispatched E2 to a reported working structure fire at a three-story residential apartment building. Chief 510 C-1 arrived on scene and initiated EMS command. He gave instructions to all incoming EMS units as to a staging location and crew assignments.  Medic 511 established a rehab and treatment area and other crews were directed by EMS/Fire command to start a search of sub division 1.  While searching,  EMS came along a fully involved storage room. EMS and Fire crews used a 1-3/4 inch hand line to extinguish the fire. After the fire was extinguished the EMS crew  used the 1-3/4 inch hand line to hydraulically ventilate out of a window in sub division 1, side 1. After the smoke dissipated and the fire was extinguished all EMS left the structure and went to rehab. When fire units began their overhaul operations they found that fire had spread into division 1 and 2. EMS was then requested by command to go to side 3 of the structure and start to ventilate the roof of the structure. This crew raised a 35 foot ladder to the roof,  climbed the ladder and put in place a roof ladder for roof operations. Once on the roof the crew made a 4 ft by 4 ft ventilation hole at the peak of the roof. After the cut was made, fire and smoke began to spread out of the vent hole. EMS then made a rapid egress off of the roof. Once EMS was back on the ground, interior Fire crews extinguished the fire in division 3. Command then asked EMS to make a second cut on the roof on side three. EMS then repositioned the 35 foot ladder and the roof ladder and made a second 4 ft by 4 ft ventilation hole in the roof.  After the second ventilation hole was established all EMS personnel cleared the roof and returned to rehab. Other than re-hydrating in the rehab/treatment area, no EMS/Fire personnel required treatment or transport to a hospital.

Residential House Fire

Technical Rescue from Residential Home

Baldwin EMS personnel responded to an unconscious female patient.  When EMS personnel arrived on scene it was determined that due to the patients’ large size a technical rescue plan had to be devised to remove the patient from her home.  Care was rendered to the patient and an existing window opening was widened and a rope and ladder fulcrum was used by EMS Rescue personnel with help of the Pleasant Hills VFC to extricate the patient.

 

 

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Motor Vehicle Crash, Two Vehicles, both drivers trapped

EMS Units responded to a MVC with unknown injuries around the 1200 block of Glass Run road. While enroute EMS was updated by dispatch that Baldwin PD was on scene confirming entrapment in one vehicle. 510 C1 arrived on scene and assumed Glass Run Command. Rescue 510 arrived on scene and positioned a right block in front of Vehicle 1. Vehicle 1 was a late model Hyundai Elantra (4 door) with moderate front end damage. Vehicle 2 was a GMC 1500 Comcast truck (2 door with a cap) which was located approximately 100 feet away from Vehicle 1. Rescue 510 began extrication on vehicle 1. Utilizing four step chocks under each corner of the vehicle.   After stabilization was completed the preconnected hydraulic spreaders were used to displace the drivers’ side door. Spreader placement was at the top corner against the “A” post and the door was rolled outward and down. Spreaders were then placed above the top hinge to completely displace the hinge from the A post in a downward manner. Second placement of the Spreaders was above the bottom hinge also utilizing a downward manner to displace the bottom hinge. After both hinges were displaced a pair of 8” Linesman cutters was used to shear the wiring harness to completely remove the door from the vehicle. During the extrication stage EMT Federico was inside the car working as the inside rescuer. Vehicle 1 Vehicle 2 Vehicle 2 also having moderate drivers side front end damage was also in need of patient extrication. The Engine 105 crew stabilized the vehicle by using four step chocks in each corner of the vehicle. Paramedic McGreehan then entered the vehicle, began patient assessment and covered the patient with a blanket.  Extrication was completed by 510 L1 and 105 Firefighters using Holomatro Spreaders and Cutters.  The drivers’ side door was partially opened at the “A” post as a result of the collision. This slight opening provided a starting point to place the spreaders to fully extend the door.  Hydraulic cutters were then used to shear top and bottom hinges. Cutters were also used to cut the wiring harness for a complete door removal from the vehicle. Medic 514 completed patient care and patient removal from the truck.  Both patients were transported to local hospitals. Units on Scene: EMS - Rescue 510, 510 C-1, Medic 514 and Medic 511 Police - Baldwin PD Officers - Kearns, Jones, Cortazzo and Vatter  Fire - Stations 105 and 292

ATV Crash in wooded area - male with multiple injuries (see pictures below narrative)

On January 28, 2007 at 18:25 hrs. EMS and Police units were dispatched to a reported ATV accident involving one male patient.  The roadways were slippery from a snow squall that had just blanketed the area.  The ambient temperature at the time of dispatch registered at 17 degrees.  Dispatch reported that the male flipped his ATV backwards on top of himself.   Rescue 510 and Medic 514 responded from the station.  Medic 512 and EMT Sacco remained at the station and prepared UC-480 for deployment.  510-C1 and 510-L1 were also enroute to the scene.  R510, M514 and 510-L1 arrived on scene at 18:35 hrs.  510-L1 assumed EMS command.  Bystanders were on scene reporting that the Pt was approximately 1-1.5 miles into the wooded area.  Command advised UC-480 to respond to this location.  Several other ATV operators reported that the Pt was attempting to ride his ATV up a hillside when his ATV rolled backwards approximately 3 times on top of himself.  They also reported that the ATV was currently not on the Pt.  Crews utilized the light tower on R510 for additional scene lighting.  Crews on scene started staging equipment for deployment into the wooded area.  The stokes basket, packaging bags, 300 ft. lifeline rope, rope hardware, and the over-the-hill bag were all removed from R510.  A 1000 ml bag of warmed saline was also removed from Medic 514.  Baldwin Borough Police Department was enroute to the scene with their police ATV and stokes trailer.  Medic 512 arrived on scene.  Utility 510 arrived on scene with UC-480.  Command advised crews to utilize UC-480 for deployment.  510-L3 and EMT Dziki utilized UC-480 with the over-the-hill bag, Paramedic Mounts was riding with Prism Unit 110.  Crews began their response to the Pt at 18:51 hrs.  One of the ATV operators offered to lead the way for emergency personnel to the patient.  Crews began their ascent up mountainous terrain with zero visibility, following their civilian guide up the snow and ice covered hillside.  The crews encountered several narrow passes and ridges as they continued their ascent to the patient.  When crews reached a narrow part of the trail, the Prism Unit 110 could not proceed.  Paramedic Mounts then transferred onto UC-480.  EMS personnel arrived at the patient at 19:00 hrs. Pt was found lying supine on a hill side.  This hillside was noted to be approximately 30 feet high.  Crews began assessing the patient’s injuries.  Pt reported that he was wearing a helmet at the time of his crash but was not currently wearing the helmet.  Pt was complaining of pain in multiple sites in his upper body as well as dyspnea.  Pt was wearing multiple layers of clothing; making it difficult to assess him.  The patient’s right coat sleeve was cut with trauma shears for IV access.  Paramedic Mounts successfully started an IV in the Pt’s right wrist.  Warm saline was wrapped with 2 hot packs and a trauma dressing in an effort to keep the IV from freezing.  Pt was placed on oxygen via a non-rebreather mask at 15 lpm.  The patient’s chest was partially exposed and one hot pack was placed under each of the Pts armpits.  His lung sounds were assessed and then one stethoscope was taped to the patient’s chest wall at the mid- axillary bilaterally and left in place.  The patient’s upper left arm sleeve was cut with trauma shears and a blood pressure cuff was placed on the patient’s arm and left in place.  STAT MedEvac 4 arrived on scene and hovered above the rescue site to provide scene lighting.  Baldwin Borough Police Dept. ATV reported that they were enroute to our location with additional equipment.  Pt was reassessed and began to complain of being cold along with his previous complaints that remained unchanged.  BBPD ATV with a hitched litter carrier arrived at the rescue site location.  Pts O2 was transferred over to a new D-tank.  Pt was log-rolled onto a back board and fully immobilized.    The stokes basket from Rescue 510 was dressed out in three layers.  A tarp was unfolded on the bottom, 2 foil tarps were placed in the middle and 2 heavy wool blankets were placed on the top.  Pt was then placed into the stokes basket and covered with all three layers.  A rope needle-and-thread latching method along with stokes basket straps were used to secure the patient.  The stokes basket was then secured to the litter carrier being towed by BBPD ATV.  The rescue team then began to descend down the hill at 1931 hrs with EMS rescuers walking alongside the towed patient litter so they could continuously monitor the patient’s condition.  UC-480 followed behind carrying the medical supplies.  Crews reached the Command and Staging area.  Pt was transferred onto the Medic 512 stretcher and placed in the back for transport at 19:46 hrs.  Pt was transported to a local trauma center by Medic 512.  After Pt was transported all units on scene returned in service.  Read above narrative that describes the evolution of this rescue call and pictures below  Units Responding  EMS  Baldwin EMS:  510-C1, 510-L1, Rescue 510, Medic 514, Medic 512, Utility 510 and  UC-480            Prism Health Services: Unit 110,  Medic 671  Police          Baldwin PD: Sgt. Cavlovic, Ofc. Fails, Ofc. Henderson, Ofc. Miller (Operator of BBPD ATV)         West Mifflin PD   back to Home page

Motor Vehicle Crash - two vehicles, with injuries

Medic 512 was enroute to a hospital with a patient and came upon a two-vehicle crash with injuries along a busy highway intersection in our primary response area.  One crew member of Medic 512 alerted County 911, established Command and requested additional EMS respond as well as police units to assist with traffic and fire units to manage fluid and debris clean-up.  Two (2) patients who were c/o of injuries were treated and  transported to a hospital.  Fire personnel assisted EMS crews with patient immobilization and movement to the ambulance.  Safe Emergency Vehicle Positioning Practices, Use of Traffic Cones and High Visibility Personal Protective Equipment aided in making the scene safer for all responders.

Responding Units:    Medic 512 (came upon the accident), Medic 514 and Rescue 510, PHVFC units and PHPD units

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Commercial Structure Fire - Wicked Cycle Shop, Old Clairton Blvd, Pleasant Hills

EMS units responded to a reported commercial structure fire along with PHVFC Station 232.  Further updates to the 911 center indicated that there was heavy smoke and flame showing from the front of the building as seen in the pictures below.  EMS crews arrived on scene and assisted with controlling a high tension wire hazard that had become separated from the fire building and laid across the highway just south of the building by placing traffic cones around the wire.  At the same time, other EMS crews were part of the initial fire attack and knock down into the garage area of the building.  In the meantime, an additional EMS crew prepared assembled portable medical equipment onto a stretcher, prepared to treat patients as needed.  

Responding Units:  Rescue 510, Medic 512, 514, 510 L-1 and Pleasant Hills Volunteer Fire Co, Pleasant Hills Police Dept and Public Works

Additional Depts.:  Fire Stations 301, 180, 110

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Motor Vehicle Crash, two vehicles, with injuries

On a very hot and humid afternoon, EMS crews were dispatched to a two vehicle crash with reported injuries.  The initial arriving EMS Chief, established Command and instructed arriving crews as to scene hazards and the number of patients.  Crews stabilized the vehicles and began treating two patients.  Both patients were treated and transported to local hospitals for further treatment and evaluation.

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Motor Vehicle Crash, single vehicle on its side, with entrapped driver

EMS crews arrived on scene to find a single vehicle crash.  The vehicle appeared to have struck a utility pole and came to rest on the drivers side of the vehicle, entrapping the driver.  The crash impact resulted in the entire rear axle being separating from the vehicle. Crews stabilized the vehicle using Kodiak and Capabear buttress systems and then gained access to the patient through the rear window of the vehicle.  Care was provided to the patient while crews created a pathway to safely remove the patient using air chisel and hydraulic cutters.  The patient was immobilized and extricated from the vehicle and taken to an ambulance and transported to a trauma center.  All of the photographs that are displayed below were taken after the patient was removed from the vehicle and the clean-up process was underway to prepare for the next call

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Motor Vehicle Crash, Crews initiate high-risk protocol

EMS dispatched to a single vehicle crash with the driver complaining of injury.  The crews extricated the patient were photographed preparing the patient for transport to a trauma center for further evaluation and treatment.

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Motor Vehicle Crash, Route 51 North Bound with one vehicle on top of the other

 Crews arrived on scene to find a total of three vehicles involved in a rear-end type collision.  The collision resulted in one of the vehicles coming to a rest on top of another.  Four (4) people were in the top car with three (3) of them complained of minor injuries.  Crews used Kodiak Struts, Capabear Struts, and cribbing to stabilize each car.  The two cars were then strapped together to complete the stabilization process.  The patients in the vehicle were not trapped and once the cars were stable, they were removed to longboards without incident.
 

Motor Vehicle Crash with Multiple Injuries and Entrapment

Motor Vehicle Crash with Both Drivers Trapped

Motor Vehicle Crash with Entrapment 

Motor Vehicle Crash - Severe Trauma 

EMS was dispatched to a motor vehicle crash with reported injuries.   Snowfall had begun earlier in the day, making road and working conditions difficult. The EMS Chief arrived first on scene and reported a mid-size vehicle that has crashed head-on into a tractor trailer.  The single occupant of the car was entrapped in the vehicle.  Crews stabilized the vehicle and gained access to the unconscious patient with severe facial trauma. The patient was disentangled and extricated from the vehicle and transported to the hospital   

Medical Call - Chest Pain 

An EMS crew responded to a private residence on July 11, 2004 for a male patient who was complaining of chest pain.  The patient had an extensive cardiac history, including cardiac arrest, bypass surgery and implantable defibrillator.  The crew administered oxygen and initiated chest pain protocol.  The crew is pictured moving the patient outside of his home using a stairchair then transferred him to the primary stretcher. Once inside the ambulance, an intravenous line was placed and normal saline fluid infused and nitroglycerine administered.  The patient's condition improved after oxygen and nitroglycerine therapy during EMS care and he was transported to an area hospital for continued treatment.

Medical Call - Near Syncope

An EMS crew responded to an assisted living facility on May 14, 2004 for a female patient who experienced a near syncopal (fainting) episode.  The patient was located in the dining room area of the facility, where the crew began assessment and treatment.  The patient received oxygen therapy, vital signs and EKG monitor assessment and an intravenous line was placed and normal saline fluid infused.  The patient's condition improved and she was transported to an area hospital for continued treatment.

Mercy Health Rangers Demonstration

Baldwin EMS recently demonstrated a few EMS and Rescue skills to participants of Mercy Hospital of Pittsburgh's Health Rangers.

A Line Demonstration 

C Line Demonstration

Vehicle Extrication Class, Howell Rescue Systems, Inc.

Once again Baldwin EMS travels to Dayton, Ohio to attend the Howell Rescue Systems, Inc. Vehicle Extrication Class.  This years attendees were Captain Jim Husar, Doug Sacco, Dan Federico and Blake Toki.

This is the third consecutive year that Baldwin EMS has sent personnel to both phases of this two part program.  To read the previously posted info on the course Click Here.

Medical Call - Decrease Level of Consciousness and Hypotension

An EMS crew and supervisor responded to a reported male with a decreased level of consciousness.  Crews found the patient lying in bed, awake, slow to respond with absent radial pulses and significant hypotension.  Crews administered high flow oxygen and initiated two I.V.s of Normal Saline and assessed the pt's glucose.  The patient was transported to a local hospital for further evaluation.

Motor Vehicle Crash - Single Vehicle On Its Side, one injured

Dispatched to a rollover accident along Route 51 with entrapment.  Asst. Chief Neill arrived on scene and reported a single vehicle rolled over in a parking lot of a local business.  Command was established and other EMS, Police and Fire units arrived on scene.  The driver and sole occupant of the vehicle was self extricated on EMS arrival.  The driver had complaints of pain and immobilized by EMS crews and  transported to a local hospital for evaluation.  Fire units controlled minor fluid hazards and police personnel conducted the accident investigation.  Apparently, the vehicle shown below on it's side was struck from behind as it was turning into the business parking lot by a large delivery truck, resulting in the vehicle flipping onto the driver side. The driver of the delivery truck was uninjured.

Two Vehicle Collision With Entrapment

On December 23, 2003 at 23:05 Baldwin Borough Police Communications dispatched a Zone 8-4 motor vehicle accident assignment for a two vehicle crash with injuries and entrapment.  Baldwin EMS Station 510, South Baldwin Fire Station 8, and Baldwin Police were alerted.

Within minutes, Baldwin Police unit 8 confirmed one injury, and confirmed entrapment.  Units arrived on scene and found a two vehicle crash with one female injured and entangled inside a two door compact newer model car.  Crews quickly stabilized the vehicle.  Crews then made access via a passenger door, provided care to the victim and performed insider rescue duties.  Rescue 8 stretched a protective hand line and controlled hazards.  Personnel from Rescue 50 and Rescue 8 utilized hydraulic tools to remove the driver's door and partially remove the roof of the vehicle.  And extrication pathway was made available and the patient was removed onto a long spine board and transported to Mercy Hospital of Pittsburgh by Medic 51 (8) minutes after crews arrived on scene. 

Responding Units:
EMS Medic 51 EMS Medic 53 EMS Rescue 50 EMS 510 L1 EMS 510 Chief	Baldwin Police Unit 9 Baldwin Police Unit 8	South Baldwin VFC Captain 8 South Baldwin VFC Rescue 8 South Baldwin VFC Engine 8 South Baldwin VFC Squad 8		Pleasant Hills Police (Traffic Control)

Motor Vehicle Crash Into An Apartment Building - Driver trapped in vehicle

Baldwin EMS units were dispatched for a vehicle that struck a wall with unknown injuries.  Upon arrival of the police, it was reported that a male was trapped inside a car that had penetrated the outer wall of an apartment building.  Upon arrival of Rescue 50, an initial size-up revealed a four-door Ford Taurus station wagon that had crashed into the front wall of an occupied apartment building.  The vehicle damaged electrical, water, gas and sewage utilities.  An electrical line was seen arcing on top of the car.  The police were in the process of evacuating the building occupants and set up a barricade due to the growing number of bystanders.  The car had entered the building at the laundry room basement area and was buried to the "c" posts as seen in the photographs below.  In addition, the roof was crushed down to the level of the doors extending from the "a" to the "c" posts.   The vehicle placed an 8' foot wide, 4' high hole in the wall.  There was extensive structural damage to the interior of the building as well.  A foam and water extinguisher was placed near the car for safety.  An elderly male victim was found lying across the front seat, awake but confused.  EMS Command was established and an Operations and Rescue Sector Officers were assigned.  All utilities were controlled by building maintenance and firefighters.  Once the utilities were controlled, access was gained to the basement interior of the building.  Crews placed a high lift jack and a piece of 4x4 cribbing on the partially collapsed wall.  Operations and Rescue Officers deemed the building structurally unsafe and Pleasant Hills VFC was requested to respond with their rescue shoring equipment.  Fire units from Option, South Baldwin and Pleasant Hills were assigned  safety and building stabilization tasks.  EMS crews initiated oxygen therapy and gained intravenous access while the patient was still in the vehicle.  EMS Rescue and Firefighter crews working in conjunction used hydraulic spreaders to remove the drivers side door.  Full access to the patient was gained and an extrication pathway was created.  The patient was immobilized removed from the vehicle via a longboard and carried  by EMS and Firefighters to an interior basement hallway of the building that was structurally sound.  Crews then prepared the patient to be carried to the primary ambulance stretcher that was outside the building.  The patient was then transported to a local trauma center for continued evaluation and treatment.  The remaining public safety personnel were removed from the building so the police could conduct their investigation.  Crews remained on scene for several hours after the car was removed from the building to complete the building stabilization process. 

Apartment High Rise Fire

On September 29, 2003 at 1352 hrs., Baldwin EMS along with Baldwin Police, South Baldwin and Option Fire Departments responded to a report of a fire alarm activation coming from within the 9 story apartment high rise.  As EMS units arrived, residents from the building were beginning to evacuate.  EMS Command and Triage were established.  Residents were found within the elevators and both stairwells.  Initial arriving firefighters located a heavy fire and smoke condition inside a  trash chute located on the 1st floor of the building.  The residents were placed outside the building and an accountability of all building residents was completed.    The ambient temperatures were in the low 60 degrees, therefore blankets were provided to all residents while they waited to return to their apartments.  Several residents were treated with oxygen but no serious injuries resulted during the incident.   EMS Mutual assistance was provided by Tri-Community South EMS, Medical Rescue Team South Authority and Prism Health Services.  Fire Departments from Pleasant Hills, Whitehall and Broughton responded to the staging area.  

Vehicle into House

On March 4, 2003 Baldwin E.M.S along with the Pleasant Hills Police Department, Pleasant Hills Volunteer Fire Company, and with the assistance of Nickolich Towing, was dispatched to Green Drive for a vehicle into a house.  Initial reports advised of one injury.  Upon arrival one patient was found standing in the front yard of the residence with minor facial and back injuries.  The patient was the driver of the vehicle and self extricated from the vehicle prior to public safety arrival, the residence was found to be empty.  The two story home had serious interior and exterior damage.  The patient was transported to a local hospital and crews remained on the scene for several hours assisting with basic shoring of the home to salvage some of the home owner's property and to render the building safe for the tow operators to remove the vehicle.

FORCIBLE ENTRY TRAINING

Baldwin EMS and Ross West View EMS personnel participated in a Forcible Entry Training Program.  The program value was enhanced by the fact that a Baldwin resident granted permission to utilize their home for the practical application.  The home was severely damaged by fire and is scheduled for demolition in the near future.  Rescue Instructor Ed Davies, guided the group through gaining access to patients through common doors found in most residential homes.  A variety of hand tools were used to gain access via the hinged and non-hinged side of doors.  The group also practiced removing locks with hand and power tools, assessing the pros and cons of the various methods.  Widening of doorways was completed to assist in removal of a large patient and/or due to partial collapse.  The program cumulated with a team breeching through a wall, creating an area to gain access to fellow rescuers who were simulated to have been injured.

A-Line Training Drill

The A-Line recently participated in a timed drill in which there were five stations.  Each member had